Hispanic/Latino Heritage Group Disparities in Sleep and the Sleep-cardiovascular Health Relationship by Housing Tenure Status in the United States

Overview

Journal Sleep Health

Specialty Psychiatry

Date 2020 Jul 6

PMID 32622645

Citations 4

Authors

Symielle A Gaston

Selena Nguyen-Rodriguez

Allison E Aiello

John McGrath

W Braxton Jackson 2nd

Anna Napoles

Eliseo J Perez-Stable

Chandra L Jackson

Affiliations

Soon will be listed here.

Abstract

Objectives: The objective of this study was to investigate whether the sleep-cardiovascular health (CVH) association varies by Hispanic/Latino heritage group and housing tenure status (i.e., homeownership, unassisted housing, government-assisted housing), which is an important social determinant of health.

Design: Cross-sectional analysis of pooled National Health Interview Survey (2004-2017) data.

Setting: United States.

Participants: US-born/non-US-born Mexican, Puerto Rican, Cuban, Dominican, Central/South American, and US-born non-Hispanic (NH)-white adults.

Measurements: Within each housing tenure category, Poisson regressions with robust variance estimated the adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) of (1) habitual sleep duration (<6-hours, 6-<7-hours, and >9-hours vs. 7-9 hours) and sleep quality for Hispanic/Latino heritage groups compared with NH-whites and (2) ideal CVH for Hispanic/Latino heritage groups within each sleep duration category, separately, compared with NH-whites who reported 7-9 hours sleep duration.

Results: Among 283,767 NH-white and Hispanic/Latino adults (mean age=47.0±0.09 years, 50.1% female), 33% rented housing (4% government-assisted; 29% unassisted), and 67% were homeowners. Compared with their NH-white housing tenure counterparts, only Puerto Rican homeowners were more likely to report <6-hours (PR=1.70 [95% CI: 1.44-2.01]) and 6-<7-hours (PR=1.31 [1.19-1.44]) sleep duration. Overall, Hispanic/Latino heritage groups were either less likely or no more likely to report >9-hours sleep duration and poor sleep quality compared with NH-whites. Disparities in CVH were large between Puerto Rican unassisted renters and homeowners who reported >9-hours of habitual sleep compared with their NH-white housing tenure counterparts who reported 7-9 hours.

Conclusions: Hispanic/Latino-white disparities in the sleep-CVH relationship may vary by Hispanic/Latino heritage group and housing tenure.

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